| NPI | 1083672885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J7593) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 21779) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2024-10-22 |