| NPI | 1063943686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NV 24016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01084383A) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2024-10-29 |