| NPI | 1669437141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX 47440) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME115142) |
| 207P00000X Emergency Medicine (Licence: NY 184471) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-03-07 |