| NPI | 1942950092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA MD-54532) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 13502832-1205) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-05-20 |