| NPI | 1144325796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 59993) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 13058) |
| 208000000X Pediatrics (Licence: RI MD11254) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ME MD17724) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 272934) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-09-09 |