| NPI | 1215024344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN MD40013) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD40013) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN MD40013) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2012-09-17 |