| NPI | 1033386479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-6406) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 141952) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2018-03-12 |