| NPI | 1922033992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 136808) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 227803) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-08-06 |