| NPI | 1780714451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: PA MD428863) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD428863) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-03-18 |