| NPI | 1851683148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P4209) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10040570) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2021-09-24 |