| NPI | 1427037977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 45692) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 45692) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 45692) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2020-08-12 |