| NPI | 1437135217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2008028220) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX F3008) |
| 207P00000X Emergency Medicine (Licence: CO 23542) | |
| 207P00000X Emergency Medicine (Licence: CA C50185) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2019-08-19 |