| NPI | 1992098503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA10206000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 249089) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2020-04-07 |