NPI | 1992122246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 84949) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 84949) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX R2107) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 325991) | |
Enumeration Date | 2014-03-25 |
Last Update Date | 2025-06-30 |