| NPI | 1548233638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036128594) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 47798) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A104067) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2011-10-05 |