| NPI | 1356358311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM 2002-0149) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX W1457) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX W1457) | |
| 208600000X Surgery (Licence: NM MD2002-0149) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX W1457) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2025-10-08 |