| NPI | 1215982392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D39917) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX T9292) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD480399) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-05-08 |