| NPI | 1013974724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.019829) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 019829) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2013-12-05 |