| NPI | 1427138791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C39843) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX F6954) |
| 207P00000X Emergency Medicine (Licence: NM MD2005-0086) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-10-15 |