| NPI | 1083034938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.152398) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R0446) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2025-02-07 |