| NPI | 1407038748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 246520) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX TEMP) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2024-06-25 |