| NPI | 1588841969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3118) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A96822) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2010-03-26 |