| NPI | 1033444245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P3144) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101017992) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2020-02-19 |