| NPI | 1396857058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 41503) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MN 41503) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-04-19 |