| NPI | 1336125897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 37810) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 37810) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: KY 37810) | |
| 208000000X Pediatrics (Licence: KY 37810) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2024-04-12 |