| NPI | 1215973953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ME 017464) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD068746L) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD068746L) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2009-04-20 |