NPI | 1154516813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 006207) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 20A9877) |
207L00000X Anesthesiology (Licence: OH 34-009889) | |
207P00000X Emergency Medicine (Licence: TX P6740) | |
208000000X Pediatrics (Licence: CA 20A9877) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 34-009889) | |
Enumeration Date | 2007-09-06 |
Last Update Date | 2025-09-16 |