NPI | 1760878227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0012741) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DE C1-0012741) |
Enumeration Date | 2015-04-11 |
Last Update Date | 2019-01-22 |