| NPI | 1013958909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-0362) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K9562) |
| 207P00000X Emergency Medicine (Licence: AR E-0362) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-11-08 |