| NPI | 1144219296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101258359) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 39744) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 39939) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC 20-22391) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2024-04-09 |