| NPI | 1457945115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-24596-0) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX U0452) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-08-06 |