| NPI | 1689611741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P1347) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A72973) |
| 207P00000X Emergency Medicine (Licence: NY 223819) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-12-14 |