| NPI | 1124555990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S7797) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01081255A) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-02-20 |