| NPI | 1922063676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD019076E) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 116618) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OK 21879) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 36107693) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2010-07-14 |