NPI | 1487945945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.33337) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 173240) |
208000000X Pediatrics (Licence: AL MD.33337) | |
Enumeration Date | 2011-05-02 |
Last Update Date | 2015-12-11 |