| NPI | 1033572458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 25635) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS T-3083) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2018-06-07 |