| NPI | 1942405469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A124605) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA L-221883) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 234471) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2013-02-27 |