NPI | 1205159605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R7051) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD038497) |
Enumeration Date | 2010-03-12 |
Last Update Date | 2024-12-18 |