| NPI | 1467727081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A15727) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OK 5426) |
| 208000000X Pediatrics (Licence: OK 5426) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2020-02-26 |