| NPI | 1013940071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q7144) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 24073) |
| 207Q00000X Family Medicine (Licence: OK 24073) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-10-08 |