| NPI | 1124190657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR MD26588) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO DR.0043122) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD00046069) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-11-01 |