NPI | 1801883962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.11967) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.11967) |
207P00000X Emergency Medicine (Licence: AL MD.11967) | |
Enumeration Date | 2005-10-04 |
Last Update Date | 2019-07-10 |