| NPI | 1427088947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00041961) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T9441) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-09-11 |