| 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 |