| NPI | 1043298615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0042228) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101221294) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2023-04-19 |