| NPI | 1427345305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 122416) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q3304) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2015-05-04 |