| NPI | 1982733796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 7246877-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 134089) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-06-23 |