NPI | 1013439124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AL MD.41894) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.41894) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2021-04-28 |