| NPI | 1366423857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N6774) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD496770) |
| 207P00000X Emergency Medicine (Licence: NE CP2424) | |
| 207P00000X Emergency Medicine (Licence: GA 111547) | |
| 207P00000X Emergency Medicine (Licence: LA 353443) | |
| 207P00000X Emergency Medicine (Licence: UT 14296144-1235) | |
| 207P00000X Emergency Medicine (Licence: AZ 81664) | |
| 207P00000X Emergency Medicine (Licence: DE C1-0029843) | |
| 207P00000X Emergency Medicine (Licence: OK 50065) | |
| 207P00000X Emergency Medicine (Licence: MI EMC0009818) | |
| 207P00000X Emergency Medicine (Licence: CO CDR.0007147) | |
| 207P00000X Emergency Medicine (Licence: PA 202603702) | |
| 207P00000X Emergency Medicine (Licence: IN 01100639A) | |
| 207P00000X Emergency Medicine (Licence: AL 54350) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2026-07-20 |