| NPI | 1700226859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101257524) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD G-616-067-398-042) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2023-08-10 |