| NPI | 1174663066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NV 9082) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA G077747) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA G77747) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2016-03-22 |