| NPI | 1225054026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 226924) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D92511) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 330198) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-07-11 |