| NPI | 1033644729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: DE C1-0027270) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: PA MT227744) |
| 207P00000X Emergency Medicine (Licence: VA 0101268538) | |
| 207P00000X Emergency Medicine (Licence: DE C1-0027270) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2024-08-23 |