| NPI | 1366483349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX G6310) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G6310) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-11-26 |