| NPI | 1538176847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q8198) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA MD201723) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 22374) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-06-24 |