| NPI | 1447485172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P4851) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI L1565853) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2024-05-13 |