NPI | 1144219296 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: VA 0101258359) |
Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NC 39744) |
2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: GA 39939) | |
2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: SC 20-22391) | |
Enumeration Date | 2005-10-20 |
Last Update Date | 2024-04-09 |