NPI | 1164419834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C145911) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35065614) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01074192A) | |
Enumeration Date | 2005-09-29 |
Last Update Date | 2022-03-01 |