NPI | 1457384281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL me78674) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL me78674) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2022-07-07 |