| NPI | 1346259678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME57246) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036062516) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX H8628) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-09 |