NPI | 1316239064 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101261501) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101261501) |
208000000X Pediatrics (Licence: NY 311591) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN MD52574) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD463502) | |
Enumeration Date | 2011-05-12 |
Last Update Date | 2024-06-11 |