| NPI | 1801956669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 050705) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 30834141205) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN MD0000020432) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-09-08 |