| NPI | 1922450782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: TX V1997) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.136390) |
| 208000000X Pediatrics (Licence: TX V1997) | |
| 207P00000X Emergency Medicine (Licence: NY 308379) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2024-07-03 |