| NPI | 1164477543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC 51812) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DE CI0002751) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-05-30 |