| NPI | 1598081788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX Q3342) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q3342) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: TX Q3342) | |
| 207P00000X Emergency Medicine (Licence: NC 164559) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2025-11-04 |