| NPI | 1952369696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 55922) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 55922) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 55922) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MA 55922) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-08-17 |