NPI | 1093715682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 21003) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 21003) |
208000000X Pediatrics (Licence: TN 21003) | |
Enumeration Date | 2005-07-26 |
Last Update Date | 2017-08-05 |