| NPI | 1932542586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: LA 207437) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 24540) |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2020-12-30 |