NPI | 1629335823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q8159) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2015-01250) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2020-11-05 |