| NPI | 1609987684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.091498) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 050059) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2011-01666) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-02-14 |