| NPI | 1669423091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA G164807) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G164807) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX H3641) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2024-04-16 |