| NPI | 1346218906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME150601) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01049033A) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD 00048505) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N7431) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MT 77669) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2021-06-04 |