| NPI | 1346803996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A181544) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S9584) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2023-06-08 |