| NPI | 1831327360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q3753) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 003993) |
| 208000000X Pediatrics (Licence: FL ME112378) | |
| 208000000X Pediatrics (Licence: SC LL32374) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME112378) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2015-08-17 |