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 |