| NPI | 1497893366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AR E-11227) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 39175) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ID M10102) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-09-08 |