| NPI | 1881831873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 003720) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25ma08287100) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2021-03-11 |