| NPI | 1386076248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MI 4301117104) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: RI MD15293) |
| 208000000X Pediatrics (Licence: MS 22759) | |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2020-08-13 |