| NPI | 1730270935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: FL ME159845) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: PA MD475273) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: VA 0101266017) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-05-08 |