| NPI | 1023495330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A154520) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 290954) |
| 207P00000X Emergency Medicine (Licence: TX S7052) | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2025-01-27 |