| NPI | 1952569600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N1479) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA MD-50505) |
| 207P00000X Emergency Medicine (Licence: AZ 49734) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-02-24 |