| NPI | 1730147901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA07514000) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ MA07514000) |
| 208000000X Pediatrics (Licence: NJ 25MA07514000) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-03-28 |