| NPI | 1346278728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX FTL41327) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA TD61448628) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-07-21 |