| NPI | 1255741161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A139013) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R2747) |
| 207P00000X Emergency Medicine (Licence: CA A139013) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX R2747) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2024-03-21 |