| NPI | 1316367220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: NY 283795) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 283795) |
| 207PT0002X Emergency Medicine Medical Toxicology (Licence: NY 283795) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2021-11-24 |