NPI | 1730146796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 039101) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 039101) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2015-10-09 |