| NPI | 1578590832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME109845) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA MD.15372R) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101248503) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-03-07 |