| NPI | 1407350101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ 25MA12114400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA12114400) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-05-15 |