| 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 |