| NPI | 1811126527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MI 5101018462) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101018462) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2021-09-08 |