| NPI | 1326365982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA09965700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD449408) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2018-05-31 |