| NPI | 1124288998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q2311) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01067621A) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2022-11-29 |