| NPI | 1164423364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q0574) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA 047958L) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX Q0574) | |
| 207P00000X Emergency Medicine (Licence: PA MD047957L) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2024-06-17 |