| NPI | 1528483955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA 20A18434) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A18434) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2020-08-11 |