| NPI | 1417260985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DC MD044309) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD446360) |
| 208000000X Pediatrics (Licence: MA 250073) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD446360) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D0086608) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2021-12-14 |