| NPI | 1396989042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N7462) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10033759 ID538378) |
| Enumeration Date | 2009-04-25 |
| Last Update Date | 2011-01-25 |