NPI | 1710917414 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.015143) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 015143) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-12-09 |