NPI | 1356329056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0057642) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL ME0057642) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2015-06-23 |