| NPI | 1003418559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 47600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-20264) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2026-06-26 |