| NPI | 1003886672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 838) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 34541) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2021-02-19 |