| NPI | 1437135282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N9751) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 9701504) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2012-01-18 |