| NPI | 1679607980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C195299) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C195299) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN MD48419) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AL 26601) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-03-13 |