NPI | 1487810941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0048645) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 48645) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2018-12-05 |