| NPI | 1952806523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A195399) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A195399) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0066632) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-09-18 |