| NPI | 1326627209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX V7687) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A197164) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-08-12 |