| NPI | 1134185382 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2002008837) | 
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 16260) | 
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01052093) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D0052584) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 14090) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35-061863) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036081075) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 04-28623) | |
| Enumeration Date | 2006-04-25 | 
| Last Update Date | 2020-06-11 |