| NPI | 1932544798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q6118) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10045854) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2016-04-11 |