| NPI | 1720435233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S4432) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP03644) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-11-27 |