| NPI | 1417176744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 04-41688) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AR E-5853) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2019001298) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-07-14 |