| NPI | 1023378494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 23907) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35C.001315) |
| Enumeration Date | 2012-05-20 |
| Last Update Date | 2024-04-18 |