NPI | 1235202003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 39402) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 39402) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 39402) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2025-09-22 |