| NPI | 1417299413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX V1953) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: GA 93138) |
| 208000000X Pediatrics (Licence: NJ 25MA09116900) | |
| 208000000X Pediatrics (Licence: MO 2014005003) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2024-09-25 |