| NPI | 1679734412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: VA 0101242983) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NJ 25MA10707600) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MD D0073607) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-03-22 |