| NPI | 1518980267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 38828) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 38828) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MN 38828) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-11-08 |