| NPI | 1326270661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA08989400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD452428) |
| 208000000X Pediatrics (Licence: NJ 25MA08989400) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD452428) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2023-04-18 |