| NPI | 1023539277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC LL40762) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2020-04729) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |