| NPI | 1740369263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-4574) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E4574) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-03-26 |