NPI | 1699066357 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 61930) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 61930) |
Enumeration Date | 2011-04-28 |
Last Update Date | 2024-02-06 |