| NPI | 1477537926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3315) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01058119A) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX N3315) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IN 01058119A) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2015-03-20 |