| NPI | 1508810532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G62906) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA g62906) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2010-10-26 |