| NPI | 1306807250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 24639-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 32178) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA 32178) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2014-06-06 |