| NPI | 1265926570 |
|---|---|
| Former Name | MARK NOVIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 12236682-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301115417) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2021-05-27 |