| NPI | 1033186572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 17194) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 17194) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2009-12-10 |