| NPI | 1598908022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S7493) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 48855) |
| 207P00000X Emergency Medicine (Licence: DE C1-0026887) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2024-06-24 |