| NPI | 1679891832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CO DR.0057050) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CO 57050) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2024-08-26 |