| NPI | 1437441664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P5824) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10040566) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2013-06-26 |