| NPI | 1174560726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J0714) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR C-7341) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-11-20 |