| NPI | 1871813402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P4935) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10037122) |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2024-06-12 |