| NPI | 1295121895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A160952) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R5114) |
| 207P00000X Emergency Medicine (Licence: TX BP10052947) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2024-03-20 |