| NPI | 1477511947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0068733) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C134238) |
| 208000000X Pediatrics (Licence: CA C134238) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA C134238) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-09-21 |