| NPI | 1447561469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX Q5897) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08785200) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2015-10-06 |