| NPI | 1891182168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R4775) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10052954) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2024-09-19 |