| NPI | 1306073267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX Q0308) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q0308) |
| 146D00000X Personal Emergency Response Attendant | |
| 207P00000X Emergency Medicine (Licence: DE C2-0010415) | |
| 207P00000X Emergency Medicine (Licence: MN 57821) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2024-03-07 |