| NPI | 1710419049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 20185) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NV 20185) |
| 208000000X Pediatrics (Licence: NV 20185) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-04-22 |