| NPI | 1083868384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10512200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 250977) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA10512200) | |
| 207P00000X Emergency Medicine (Licence: NY 250977) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2023-10-06 |