| NPI | 1295023745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2017011259) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY TP679) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 47376) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2022-07-21 |