| NPI | 1275738866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC 1074) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 072705) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 81673-21) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-09-20 |