NPI | 1811956519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 6893) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PR 6893) |
208000000X Pediatrics (Licence: PR 6893) | |
2080A0000X Pediatrics, Adolescent Medicine (Licence: PR 6893) | |
Enumeration Date | 2006-03-21 |
Last Update Date | 2015-12-31 |