| NPI | 1710129614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA OS016134) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MB10204900) |
| 208M00000X Hospitalist (Licence: PA OS016134) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2022-02-23 |