| NPI | 1063493880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2014-01603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101237078) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101237078) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2024-02-22 |