| NPI | 1144206319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2009-02018) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L6089) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2024-06-26 |