| NPI | 1407175987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX R1514) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2025037544) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL TRN20400) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2025-09-19 |