| NPI | 1598849614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA07069600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA07069600) |
| 208M00000X Hospitalist (Licence: NJ MA07069600) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2014-05-07 |