| NPI | 1306853957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DC MD035295) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME97096) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 058308) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-09 |