| NPI | 1629400486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S8157) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A146592) |
| Enumeration Date | 2013-08-04 |
| Last Update Date | 2024-01-03 |