| NPI | 1326129206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K3375) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-46442) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-12-11 |