| NPI | 1205047545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 48287) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NM MD2009-0253) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A91944) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-08-07 |