| NPI | 1720236029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO DR.0065743) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35C.001114) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 49207) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2024-04-29 |