| NPI | 1841396611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 016881) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 016881) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-05-15 |