| NPI | 1972613032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: HI MD-11472) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: CA A62774) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-08-30 |