| NPI | 1982748778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CO 24044) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CO 24044) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-09-28 |