| NPI | 1821226341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 003607) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P3609) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2023-11-28 |