NPI | 1043591308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD452220) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD452220) |
Enumeration Date | 2011-08-31 |
Last Update Date | 2024-08-20 |