| NPI | 1528323797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX s2175) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 55016) |
| 207P00000X Emergency Medicine (Licence: TX S2175) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: WI 64474-20) | |
| 208000000X Pediatrics (Licence: LA MD.207568) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-03-19 |