| NPI | 1740507649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P1325) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10037123) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2016-02-03 |