| NPI | 1841522232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: CO 0049218) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 49218) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2018-06-08 |