| NPI | 1437738549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX BP10074859) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX U2870) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-09-22 |