| NPI | 1043657042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 148775) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP20049759) |
| 208600000X Surgery (Licence: TX BP10046925) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-03-07 |