| NPI | 1013981190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P6473) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01060354A) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: HI 15807) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-12-10 |