| NPI | 1841636792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AR E-15368) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-15368) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 270984) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2022-09-01 |