NPI | 1669039335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301506589) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.074134) |
Enumeration Date | 2019-05-28 |
Last Update Date | 2025-07-25 |