| NPI | 1396156949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD H0097268) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102204314) |
| 208000000X Pediatrics (Licence: MD H0097268) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2025-01-27 |