| NPI | 1942330980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ 25MA08744400) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PA MD428315) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-09-08 |