| NPI | 1619944790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J9944) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX J9944) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-08-13 |