NPI | 1578538534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MN 44939) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 44939) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MN 44939) | |
208000000X Pediatrics (Licence: MN 44939) | |
Enumeration Date | 2006-02-22 |
Last Update Date | 2020-10-07 |