| NPI | 1144336777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA06286800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA06286800) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2017-04-28 |