NPI | 1831127273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 50267) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 50267) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2025-06-03 |