| NPI | 1477747582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P6061) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E5814) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2013-10-14 |