| NPI | 1649685215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: UT 11504423-1205) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX R3508) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2023-06-12 |