| NPI | 1609847375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: SC 18477) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 18477) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2023-04-20 |