| NPI | 1326138728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q1616) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q1616) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX q1616) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ 25MA08378700) | |
| 208000000X Pediatrics (Licence: NY 235853) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2024-07-02 |