| NPI | 1316399942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S1066) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX S1066) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2022-09-24 |