| NPI | 1396993499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U0931) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 251493) |
| 207P00000X Emergency Medicine (Licence: NE 2063) | |
| 207P00000X Emergency Medicine (Licence: IA DO-05348) | |
| 207P00000X Emergency Medicine (Licence: VA 0102202611) | |
| 207P00000X Emergency Medicine (Licence: OR DO162427) | |
| 207P00000X Emergency Medicine (Licence: NM A-2330-20) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2024-03-01 |