| NPI | 1396942165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX M8368) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M8368) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX BP20029586) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2025-09-23 |