| NPI | 1497041867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P7330) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10040268) |
| 207P00000X Emergency Medicine (Licence: CO DR.0055582) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2024-04-25 |