| NPI | 1649799016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U4970) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A183771) |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2024-08-03 |