NPI | 1891894440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA G64226) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G64226) |
208000000X Pediatrics (Licence: CA G64226) | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2024-03-27 |