| NPI | 1447570098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P8524) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 52080) |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2023-12-20 |