| NPI | 1003800954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-095485) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01065839A) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01065839A) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-11-16 |