| NPI | 1366683393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q7780) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 249342) |
| Enumeration Date | 2009-03-21 |
| Last Update Date | 2023-10-20 |