NPI | 1740248970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 153293) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 153293) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2007-10-27 |