| NPI | 1245285824 |
|---|---|
| Professional Name | SHANNON CHRISTOPHER BOUDREAUX |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME95353) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME95353) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-02-09 |