| NPI | 1518995026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: ID M-12972) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: UT 5181544-1205) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: ID M-12972) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-04-25 |