| NPI | 1497766166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K6282) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT 113028) |
| 207P00000X Emergency Medicine (Licence: ID M-16868) | |
| 207P00000X Emergency Medicine (Licence: UT 12846217-1205) | |
| 207P00000X Emergency Medicine (Licence: CA C129547) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-10-13 |