| NPI | 1952326522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 25MA05926700) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA05926700) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-09-11 |