| NPI | 1194733485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX H6812) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 238086) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 46455) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-09-05 |