| NPI | 1679137525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 4981) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 4981) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2025-06-23 |