| NPI | 1366434904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX L8377) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35084901) |
| 208000000X Pediatrics (Licence: TX L8377) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35084901) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX L8377) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35084901) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2022-06-15 |