| NPI | 1811084940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX V0269) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN MD39684) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 10272475-1205) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2024-04-18 |