| NPI | 1629101126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A93330) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A93830) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A93330) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-03-21 |