| NPI | 1235304155 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A88660)  | 
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 56483)  | 
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036144569)  | |
| Enumeration Date | 2008-04-23 | 
| Last Update Date | 2021-01-08 |