| NPI | 1386935484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2012015933) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012015933) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2022-04-26 |