NPI | 1235304155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A88660) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 56483) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036144569) | |
Enumeration Date | 2008-04-23 |
Last Update Date | 2021-01-08 |