| NPI | 1134376536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OK 42907) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME106826) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 55101) | |
| 208000000X Pediatrics (Licence: FL ME106826) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2024-06-25 |