| NPI | 1144251042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX L1690) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A79011) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-11-09 |