| NPI | 1013150606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD041925) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0076921) |
| Enumeration Date | 2009-04-12 |
| Last Update Date | 2021-06-25 |