| NPI | 1548231327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME89160) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME89160) |
| 207R00000X Internal Medicine (Licence: FL ME89160) | |
| 208000000X Pediatrics (Licence: FL ME89160) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-12-06 |