| NPI | 1881652451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 47560) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 47560) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-11-18 |