| NPI | 1457319295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2003025745) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR DO28114) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA OP00002323) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2012-12-21 |