| NPI | 1487680773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 24175) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD427880) |
| 208000000X Pediatrics (Licence: IL 036109815) | |
| 208000000X Pediatrics (Licence: OH 35072279) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD427880) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036109815) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35072279) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2017-03-27 |