| NPI | 1750343091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX L9742) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 18546) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 18546) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 207676) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2024-03-15 |