| NPI | 1043390461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C55888) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C55888) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX M2757) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-04-16 |