| NPI | 1083053896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD18035) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 036143596) |
| 207R00000X Internal Medicine (Licence: IL 036.143596) | |
| 208000000X Pediatrics (Licence: IL 036.143596) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2021-10-18 |