| NPI | 1871545400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MA 234346) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CT 54780) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IN 01042406A) | |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: WI 64570-20) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-08-06 |