| NPI | 1306160106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 264068) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 264068) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2022-07-21 |