| NPI | 1295056752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q0186) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301096866) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-09-20 |