| NPI | 1144345463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: OR MD28079) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MI 4301078361) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-07-09 |