| NPI | 1396060695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10011715) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DE C10011715) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PA MD458039) | |
| 208000000X Pediatrics (Licence: PA MD458039) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2018-08-17 |