| NPI | 1427408863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME138056) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME138056) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2023-09-06 |