NPI | 1437234440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TX K7126) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K7126) |
208000000X Pediatrics (Licence: TX K7126) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2019-05-30 |