| NPI | 1235391822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MO 2017010897) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017010897) |
| 208000000X Pediatrics (Licence: PA OS015778) | |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: PA OS015778) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2020-03-25 |