| NPI | 1093781726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME138009) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 199931) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 199931) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CO CDRH.0052535) | |
| 208000000X Pediatrics (Licence: NY 199931) | |
| 208000000X Pediatrics (Licence: TX T9311) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO CDRH.0052535) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX T9311) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 199931) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 3222) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME138009) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 199931) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-09-07 |