| NPI | 1730171729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL me129369) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01070501A) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 37648) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ID 2271859) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2025-10-27 |