| NPI | 1427349091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: CA C183024) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C183024) |
| 208000000X Pediatrics (Licence: MI 4301104443) | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MI 4301104443) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2023-08-15 |