| NPI | 1013951946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D51853) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101248822) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-08-31 |