| NPI | 1043296122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX L7799) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L7799) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX L7799) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2023-02-20 |