NPI | 1932411998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX Q7450) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013012532) |
208000000X Pediatrics (Licence: TX Q7450) | |
Enumeration Date | 2010-07-07 |
Last Update Date | 2018-07-10 |