| NPI | 1144458944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 83052) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ID M-16902) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 70412) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 16377) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2024-04-08 |