| NPI | 1093788531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q9121) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 29385) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-04-26 |