| NPI | 1275899783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q3467) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0063124) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2023-11-02 |