NPI | 1538691068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101280620) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.37678) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.37678) | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-07-25 |