NPI | 1205845914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL 0024020) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME24020) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2025-09-11 |