| NPI | 1861751588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q1819) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10042995) |
| 207P00000X Emergency Medicine (Licence: CA A136136) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2022-07-21 |