| NPI | 1043667629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 61276) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 008219) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2021-05-14 |