| NPI | 1043263361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2008-00360) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 28703) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-11-27 |