| NPI | 1265405880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA06285400) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA062854) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-11-11 |