| NPI | 1003869256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS010577L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS010577L) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 342037) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA OS010577L) | |
| 207P00000X Emergency Medicine (Licence: NJ 25MB09418600) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-09-27 |