| NPI | 1164493185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K3394) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K3394) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2015-03-14 |