| NPI | 1629176680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD00043972) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ID m-11014) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 41142) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-08-10 |