| NPI | 1447240247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J4344) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BJ4344) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2018-03-29 |