NPI | 1689882649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD431708) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD431708) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2013-08-07 |