| NPI | 1841411733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 2159-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N7113) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-04-22 |