| NPI | 1851577787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND 19118) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.090012) |
| 208000000X Pediatrics (Licence: IN 01068809A) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND PT19118) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01068809A) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2023-12-26 |