| NPI | 1588976310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD434484) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08792200) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA08792200) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2023-10-12 |