| NPI | 1861461089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA 36433) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01061105A) |
| 208000000X Pediatrics (Licence: IA 36433) | |
| 208000000X Pediatrics (Licence: IL 036-112120) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2023-03-07 |