| 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 |