NPI | 1558574400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.133442) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2010005087) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2010005087) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2018-06-06 |