| NPI | 1811084957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C172595) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA 39966) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN MD37231) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2021-07-28 |