| NPI | 1275547747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD029538E) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD029538E) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NJ 25MA05592200) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA05592200) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-04-17 |