| NPI | 1588892582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q3113) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.31877) |
| 207P00000X Emergency Medicine (Licence: TX Q3113) | |
| 207P00000X Emergency Medicine (Licence: AL MD.31877) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2026-07-16 |