| NPI | 1396953022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME128736) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI 14276) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: HI 14276) | |
| 208000000X Pediatrics (Licence: FL ME128736) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2017-02-22 |