| NPI | 1740261049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 038684) |
| Additional Taxonomies | 2080T0002X Pediatrics, Medical Toxicology (Licence: CT 03684) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2008-05-09 |