| NPI | 1033188024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q2875) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101046916) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101046916) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2016-01-06 |