| NPI | 1598908071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N7118) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10033758) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2024-06-12 |