| NPI | 1124068416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX L6836) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 38715) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-06-18 |