| NPI | 1164688966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX N1971) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX N1971) |
| 208000000X Pediatrics (Licence: TX N1971) | |
| 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: TX N1971) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2025-03-17 |