| NPI | 1366409146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD-053913-L) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX W6462) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 56547) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 81769) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2026-07-27 |