| NPI | 1871787408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101268459) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME117780) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2009 032 391) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AL MD.37558) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-01-05 |