| NPI | 1164419834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C145911) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35065614) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01074192A) | |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2022-03-01 |