NPI | 1700854882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 001627) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 001627) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2021-01-13 |