| NPI | 1598720963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A69979) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L4335) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2008-03-03 |