| NPI | 1316010747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S4709) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.014397) |
| 207P00000X Emergency Medicine (Licence: FL 056765) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-04-22 |