| NPI | 1568410793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: PA MD426230) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD426230) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-12-07 |