| NPI | 1891809083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M2683) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME EL061026) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-09-17 |