| NPI | 1437234440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX k7126) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K7126) |
| 208000000X Pediatrics (Licence: TX k7126) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-05-30 |