| NPI | 1073191474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD61551185) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61551185) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-05-22 |