NPI | 1770568990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA08469300) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 227400) |
208000000X Pediatrics (Licence: CT 36442) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 227400) | |
Enumeration Date | 2005-12-09 |
Last Update Date | 2024-02-05 |