| NPI | 1962922724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA MD-51263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018035931) |
| 208000000X Pediatrics (Licence: IA MD-51263) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-08-22 |