| NPI | 1831279918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K8007) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 000000A54195) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-01-24 |