| NPI | 1598295925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T7626) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A158043) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-05-14 |