NPI | 1821083460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME82987) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME82987) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2024-06-19 |