| NPI | 1437131208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2005026115) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX F1449) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-07-08 |