| NPI | 1891052437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036.145551) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10096600) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-10-03 |