| NPI | 1578591194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX L0697) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX L0697) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-01-26 |