| NPI | 1407315211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AR E-18892) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-18892) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MT224819) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-07-01 |