| NPI | 1487275061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T7327) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10070686) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-03-07 |