NPI | 1407017312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN 47183) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN MD47183) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN MD47183) | |
208000000X Pediatrics (Licence: TN 47183) | |
208000000X Pediatrics (Licence: OH 35 . 089787) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35. 089787) | |
Enumeration Date | 2008-06-23 |
Last Update Date | 2022-03-16 |