| NPI | 1144468166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P4614) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 25993) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2015-06-25 |