| NPI | 1639105489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A49855) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A49855) |
| 207P00000X Emergency Medicine (Licence: CA A49855) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-03-19 |