| NPI | 1154436145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 25331) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301063576) |
| 207P00000X Emergency Medicine (Licence: TX K3222) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-02-04 |