| NPI | 1326360223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N5192) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: TX N5192) |
| 209800000X Legal Medicine (Licence: TX N5192) | |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2019-03-04 |