| NPI | 1386705937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 126234) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD035094) |
| 207P00000X Emergency Medicine (Licence: TX N2589) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-12-22 |