| NPI | 1851526792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N5829) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5829) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX N5829) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2024-02-28 |