| NPI | 1699876458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N72225) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 239527) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-06-25 |