| NPI | 1881890655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD177131) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036.124171) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA 60262136) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2009011806) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2016-09-08 |