| NPI | 1306893813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME0060077) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01084805A) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01084805A) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-09-12 |