| NPI | 1235163627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA DO.025843) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: LA DO.025843) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: LA MD.025843) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-01-28 |