| NPI | 1730321860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P1955) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 067378) |
| 207P00000X Emergency Medicine (Licence: GA 003870) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2013-12-05 |