| NPI | 1114291267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 201502484) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 201502484) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2017-02-27 |