| NPI | 1699725911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA07447100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07447100) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-02-07 |