| NPI | 1184723157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA A91201) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A91201) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-08-13 |