| NPI | 1144675828 |
|---|---|
| Other Name | EDWARD D RE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: PA MD468533) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT210381) |
| 2080S0010X Pediatrics, Sports Medicine (Licence: PA MT210381) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2021-06-29 |