| NPI | 1992811566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-01703) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01048145) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2009-01703) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2022-11-11 |