| NPI | 1194812669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q4746) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 3441) |
| 207P00000X Emergency Medicine (Licence: AZ 3441) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-08-08 |