| NPI | 1174596670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX H0140) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX H0140) |
| 208000000X Pediatrics (Licence: TX H0140) | |
| 208M00000X Hospitalist (Licence: TX H0140) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2024-02-06 |