| NPI | 1538286208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 40538) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 53609) |
| 207P00000X Emergency Medicine (Licence: TX Q7784) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2025-01-12 |