| NPI | 1023339553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA11677300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 289543) |
| 208000000X Pediatrics (Licence: PA MT197519) | |
| 208000000X Pediatrics (Licence: NJ 25MA11677300) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 289543) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101276641) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2023-06-14 |