| NPI | 1386937142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA10378600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 271245) |
| 208000000X Pediatrics (Licence: MA 262671) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2020-02-19 |