| NPI | 1013361427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A156254) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A156254) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2025-10-31 |