| NPI | 1275583858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 301075) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AL 26432) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 22302) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-06-27 |