| NPI | 1912342007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX V2620) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 14997) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A52968) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2025-05-19 |