| NPI | 1235290081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN MD0000041241) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD0000041241) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-09-18 |