| NPI | 1588921241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A168544) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 277884) |
| 208000000X Pediatrics (Licence: CA A168544) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2024-03-21 |