NPI | 1225018112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX M1902) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M1902) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2023-02-17 |