| NPI | 1124050844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C149272) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.061845) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.061845) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-07-21 |