NPI | 1710129614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA OS016134) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MB10204900) |
208M00000X Hospitalist (Licence: PA OS016134) | |
Enumeration Date | 2009-03-24 |
Last Update Date | 2022-02-23 |