| NPI | 1003231267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO CDR.0001012) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME120199) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2021-04-27 |