| NPI | 1316043003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 2207) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: IA 2207) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-01-26 |