| NPI | 1083669568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 4926) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 4926) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-07-31 |