| NPI | 1659360717 |
|---|---|
| Former Name | DOUGLAS PETER HUMENYY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R1389) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 33068) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2021-02-24 |