| NPI | 1023152196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A116763) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.089269) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 060400) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2016-03-24 |