NPI | 1134376536 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OK 42907) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME106826) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 55101) | |
208000000X Pediatrics (Licence: FL ME106826) | |
Enumeration Date | 2008-08-27 |
Last Update Date | 2024-06-25 |