| NPI | 1992996177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 309388) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC RTL134927) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2009-01162) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD d0078529) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 263696) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-05-20 |