| NPI | 1518196112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME124490) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT194406) |
| 208000000X Pediatrics (Licence: FL ME124490) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2023-04-06 |