| NPI | 1144485640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P8815) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P8815) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01069329A) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2024-09-09 |