| NPI | 1154617371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX U6874) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OK 30480) |
| 207P00000X Emergency Medicine (Licence: TX U6874) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2024-04-18 |