| NPI | 1215013388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M9619) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-5018) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-09-10 |