NPI | 1407847239 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D0092633) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01052347A) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 6781446-1205) | |
Enumeration Date | 2005-11-01 |
Last Update Date | 2021-09-28 |