| NPI | 1225054166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX F9149) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 144367) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-02-19 |