| NPI | 1669409223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD60211161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A66414) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR 160149) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A66414) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A66414) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2021-12-03 |