| NPI | 1457483331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD487659) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX V5296) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 36697) | |
| 208000000X Pediatrics (Licence: TX V5296) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2025-04-28 |