| NPI | 1477793362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 50174) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A106872) |
| 208000000X Pediatrics (Licence: CA A106872) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2018-03-29 |