| NPI | 1538694666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.141538) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01083416A) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2024-06-18 |