| NPI | 1497784862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA G85014) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NM MD2006-0698) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036.084830) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD 60132358) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01069425A) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OK 28859) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2012003667) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 21987) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-09-20 |