| NPI | 1497318380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 009456) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T3865) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2022-11-02 |