| NPI | 1811213267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q3462) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A125479) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2023-07-07 |