| NPI | 1659359404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A93835) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-047116) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A93835) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2022-05-12 |