NPI | 1346636800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D0103558) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX S3315) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.153395) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101261279) | |
Enumeration Date | 2015-04-11 |
Last Update Date | 2025-08-12 |