| NPI | 1568513240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD068206L) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA07573000) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DC MD044594) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-08-29 |