| NPI | 1467435438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DE C10010955) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD061663L) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N1613) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2014-07-29 |