| NPI | 1386089928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX R2418) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MA 286880) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX R2418) | |
| 208000000X Pediatrics (Licence: MA 286880) | |
| 208000000X Pediatrics (Licence: DC MD044138) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2022-08-11 |