NPI | 1972132207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.43427) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.43427) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2023-05-17 |