| NPI | 1063828689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 30031) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 7308) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2017-05-26 |