| NPI | 1881897015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.097910) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57011213) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A121856) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-04-19 |