| NPI | 1265542492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q1358) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E2310) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-10-13 |