| NPI | 1649243684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA04393300) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD070806L) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 136169) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2019-11-11 |