| NPI | 1477529741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 21965) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 21965) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-05-16 |