| NPI | 1871649459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0046566) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CO 46566) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO 46566) | |
| 208000000X Pediatrics (Licence: CO 46566) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-12-05 |