| NPI | 1467822213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S0303) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 0103R) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2024-09-17 |