| NPI | 1487698361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 41119) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 41119) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL 19184) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 022289) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-03-22 |