| NPI | 1902434038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 341711) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX U3295) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-06-06 |