| NPI | 1356684070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 321636) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 036139958) |
| 208000000X Pediatrics (Licence: NY 321636) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-09-27 |