| NPI | 1346426350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: WA 60667080) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301089678) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: WA MD60667080) | |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2016-11-17 |