| NPI | 1376546424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S1942) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 934) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2022-10-19 |