| NPI | 1497786958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: AL 17705) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.17705) |
| 208000000X Pediatrics (Licence: AL MD.17705) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.17705) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-02-23 |