| NPI | 1598733552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G88921) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K8382) |
| 207P00000X Emergency Medicine (Licence: FL ME0077039) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-10-31 |