| NPI | 1447332689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX S5000) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX S5000) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 213458) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-12-03 |