| NPI | 1043471469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX p1135) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TX p1135) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2024-11-07 |