| NPI | 1992902126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A100602) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A100602) |
| 208000000X Pediatrics (Licence: MA 235282) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 235282) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2024-04-16 |