| NPI | 1992431563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301512230) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MI 4301512230) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2024-06-21 |