NPI | 1497319065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 67759) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 30258) |
208000000X Pediatrics (Licence: WI 13525-320) | |
208000000X Pediatrics (Licence: MN 67759) | |
Enumeration Date | 2019-04-29 |
Last Update Date | 2025-08-11 |