| NPI | 1225184120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WI 51289-20) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: WI 51289-20) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2022-07-21 |