| NPI | 1992092423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME115566) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME115566) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2026-08-06 |