NPI | 1669423877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 43192) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OK 43699) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 39913) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2024-08-21 |