| NPI | 1972824605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A118384) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2010017376) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2024-03-05 |