| NPI | 1851580716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 17610) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35028351) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C28637) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2017-08-23 |