| NPI | 1619948668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ME MD21620) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VT 042-0009661) |
| Enumeration Date | 2006-01-29 |
| Last Update Date | 2018-04-30 |