NPI | 1992062905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0012464) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD454482) |
Enumeration Date | 2012-04-15 |
Last Update Date | 2018-02-19 |