| NPI | 1487116208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A19814) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S8731) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-09-10 |