| NPI | 1023071305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 34-008406) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD H0100210) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0102208461) | |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2024-05-21 |