| NPI | 1386620359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME-90678) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME90678) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME90678) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2013-12-14 |