| NPI | 1972702538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA09996900) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01071296A) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036130747) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME113600) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2019-10-17 |