| NPI | 1326084708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: HI MD-13764) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD-13764) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-09-22 |