| NPI | 1053871483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL DO.3244) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC DO82243) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2023-10-30 |