| NPI | 1760902126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR MD208040) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD208040) |
| 208000000X Pediatrics (Licence: HI MDR7366) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-08-01 |