| NPI | 1265582290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OK 43929) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX V0918) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036094372) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2025-07-04 |