| NPI | 1477702504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 071629) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 26417) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036128544) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 126247) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2015-09-30 |