NPI | 1396181285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q2198) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10047340) |
Enumeration Date | 2013-05-17 |
Last Update Date | 2020-11-02 |