| NPI | 1952629248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101260063) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P25296) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2017-06-01 |