| NPI | 1598059198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA DO-05559) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO-05559) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 02004423) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2020-07-16 |