| NPI | 1477617298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U0800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 95-00987) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U0800) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-07-08 |