| NPI | 1588764807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL OS17062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 195471) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MB09205100) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 195471) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-01-05 |