| NPI | 1427089713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L4614) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L4614) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX L4614) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-04-17 |