NPI | 1124126081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AR E-4845) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-4845) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2011-02-25 |