NPI | 1316309164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T6580) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX T6580) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2024-05-22 |