| NPI | 1043531023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81821) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SD 8868) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2023-08-18 |