| NPI | 1043317126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2008-00856) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 18979) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-11-29 |