| NPI | 1346426244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 37920) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: AZ 37920) |
| 208000000X Pediatrics (Licence: AZ 37920) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2009-03-09 |