| NPI | 1801830468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35082014) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME69036) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD 048948 L) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 278608) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-10-11 |