| NPI | 1649288259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K8629) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: TX K8629) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-05-02 |