| NPI | 1427029529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 36540) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 228123-1) |
| 207P00000X Emergency Medicine (Licence: TX M0940) | |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2007-11-27 |