NPI | 1699870253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 37011) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MN 37011) |
208000000X Pediatrics (Licence: MN 37011) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MN 37011) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2007-07-08 |