| NPI | 1366617722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME107630) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007015733) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2007015733) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2013-02495) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 071800) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2022-07-21 |