| NPI | 1447271234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 155690) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K2650) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-04-06 |