| NPI | 1699037499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 15991) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NV 15991) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2016-03-16 |