| NPI | 1821074683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 50288) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME65503) |
| 208000000X Pediatrics (Licence: FL ME65503) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2025-05-29 |