| NPI | 1427027630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA07773600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 225231) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ 24MA07773600) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2025-04-18 |