| NPI | 1023498318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R3042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10053752) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2017-10-24 |