| NPI | 1477518306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD039280L) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 159566-01) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ MA58982) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-07-28 |