| NPI | 1306166095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 273532) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012011151) |
| 208000000X Pediatrics (Licence: MA 273532) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2012011151) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2018-07-26 |