| NPI | 1255516910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR MD191427) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 258479-1) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 258479-1) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P9335) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MT 100009) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2024-07-11 |