NPI | 1376561837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 111736) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 111736) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-04-25 |