| NPI | 1467626051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA 37903) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ND RL 10642) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND 14743) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 4095-320) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 64824) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2024-04-15 |