| NPI | 1063822682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-22891-0) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME138297) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-02-03 |