| NPI | 1851533384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S2101) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 293137) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2020-10-02 |