| 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 |