NPI | 1740414002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 56199) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MO 2024038922) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: SC 38200) | |
208000000X Pediatrics (Licence: NC 2012-00845) | |
208000000X Pediatrics (Licence: SC 38200) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: SC 38200) | |
Enumeration Date | 2009-05-14 |
Last Update Date | 2024-11-22 |