| NPI | 1841228350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD021893E) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD021893E) |
| 208000000X Pediatrics (Licence: NJ 25MA03742200) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA03742200) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2013-04-17 |