NPI | 1457529299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA08344700) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08344700) |
Enumeration Date | 2008-02-14 |
Last Update Date | 2013-08-22 |