| NPI | 1821075383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IN 01060038A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-098723) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IL 036-098723) | |
| 208M00000X Hospitalist (Licence: IN 01060038A) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2021-04-28 |