| NPI | 1326236407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME98562) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301084809) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DE C1-0013597) | |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2020-06-11 |