| NPI | 1346284148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J5006) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA05822700) |
| 208000000X Pediatrics (Licence: TX J5006) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX J5006) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-04-23 |