| NPI | 1134180458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: PR 9169) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PR 9169) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2019-01-22 |