NPI | 1902873201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX H5484) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX H5484) |
Enumeration Date | 2006-03-06 |
Last Update Date | 2011-04-14 |