| NPI | 1255891974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA12673600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA12673600) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2026-08-14 |