| NPI | 1831360304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N1688) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ pending) |
| 207P00000X Emergency Medicine (Licence: TX N1688) | |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2024-09-17 |