| NPI | 1629171434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX L0812) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L0812) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2026-04-16 |