| NPI | 1043839756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-51027) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351046005) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2023-06-30 |