NPI | 1881652238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 228634) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 228634) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2021-01-13 |