| NPI | 1356357388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A77462) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A77462) |
| 208000000X Pediatrics (Licence: CA A77462) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2025-06-11 |