NPI | 1609085935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 281704-01) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: RI DO00824) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 20a10805) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 69035) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116018680) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2021-08-18 |