Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 265795 | NY |
Y | 207PP0204X | Pediatric Emergency Physician | ME122655 | FL |
N | 208000000X | Pediatrician | P7879 | TX |
N | 2080P0204X | Pediatric Emergency Doctor | P7879 | TX |
NPI | 1366748048 |
---|---|
Provider Name | Dr. Kresimir Aralica |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2011 |
Last Update Date | 09/07/2015 |