| NPI | 1134581564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 22281) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.149624) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-10-18 |