| NPI | 1245675487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX q7914) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 51365) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2022-07-21 |