| NPI | 1932303344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI DOS-1569) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10026992) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2024-12-17 |