NPI | 1619132073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME161426) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX T4899) |
208000000X Pediatrics (Licence: FL ME161426) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME161426) | |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 272450) | |
Enumeration Date | 2008-07-25 |
Last Update Date | 2024-05-23 |