| NPI | 1558687129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 01580) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A121390) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2024-07-03 |