| NPI | 1922060425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX k5988) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 94-244) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2015-12-08 |