NPI | 1235292004 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 38892) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 38892) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2007-08-28 |