| NPI | 1114214434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME139477) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME139477) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2024-04-27 |