| NPI | 1104882109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NJ MA3895500) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA03895500) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-11-12 |