| NPI | 1093927709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P9412) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: TX 3902000X) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2015-11-16 |