NPI | 1013447788 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX S6318) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10060936) |
208000000X Pediatrics (Licence: TX S6318) | |
Enumeration Date | 2017-06-15 |
Last Update Date | 2023-03-24 |