NPI | 1427080613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD426762) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD426762) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2013-04-18 |