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 |