| NPI | 1558588681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 4605) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M5798) |
| 207P00000X Emergency Medicine (Licence: TX M5798) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-04-17 |