| NPI | 1780334334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101285204) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101285204) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101285204) | |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2025-05-09 |