| NPI | 1487924304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 16046) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P1670) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2013-08-28 |