| NPI | 1538323738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AL MD.31154) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.31154) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-10-13 |