| NPI | 1326110941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL 147009) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G85400) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA G85400) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-02-15 |