NPI | 1831280171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: DE C10005644) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DE C10005644) |
208000000X Pediatrics (Licence: DE C10005644) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DE C10005644) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2011-09-10 |