| NPI | 1063038149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 83271) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL83271) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2023-04-04 |