| NPI | 1437100070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO 54654) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD066958L) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA09241400) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2017-04-01 |