| NPI | 1972611911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME150626) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC TL26586) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q2855) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-09-28 |