NPI | 1134347669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CO DR.0059782) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NH 14674) |
208000000X Pediatrics (Licence: GA 65996) | |
208000000X Pediatrics (Licence: TX N4944) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0059782) | |
Enumeration Date | 2007-04-22 |
Last Update Date | 2022-10-30 |