NPI | 1316968167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD423827) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD423827) |
207P00000X Emergency Medicine (Licence: PA MD423827) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2013-12-05 |