| NPI | 1225090038 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01089436A) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME70769) |
| 208000000X Pediatrics (Licence: KY C2070) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY C2070) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-09-24 |