| NPI | 1043284243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM A1248-04) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 3784) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2025-01-28 |