NPI | 1518296185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P7956) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2013-0686) |
Enumeration Date | 2009-12-10 |
Last Update Date | 2024-09-26 |