| NPI | 1417111964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX R2181) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OH 35.134942) |
| 208000000X Pediatrics (Licence: WV 390200000x) | |
| 208000000X Pediatrics (Licence: LA MD.206689) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX R2181) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2024-02-23 |