NPI | 1669408902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME70284) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME70284) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2012-08-06 |