| NPI | 1427403385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S1179) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 007668) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2019-07-18 |