| NPI | 1427064138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 218758) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 218758) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-09-21 |