| NPI | 1467537548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: PA MD032476E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME127936) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: FL ME127936) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-10-06 |