| NPI | 1043449408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0094143) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101248073) |
| 207P00000X Emergency Medicine (Licence: CO DR.0060619) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2024-08-05 |