| NPI | 1114176237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AL 34415) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-055564) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A121694) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2015-09-20 |