| NPI | 1356333660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 37283) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 221790) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 11870) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2007-08-08 |