| NPI | 1699707794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ID M-8701) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01072478A) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND 15404) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 45654) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-04-26 |