| NPI | 1124474010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U8692) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MA 267079) |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: TX U8692) | |
| 207P00000X Emergency Medicine (Licence: MA 267079) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-04-19 |