| NPI | 1184891566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 238699) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 228624) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2015-08-20 |