| NPI | 1457667677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01086707A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125053639) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2022-04-26 |