NPI | 1235201336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101052317) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101052317) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2022-03-11 |