| NPI | 1063859262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS14869) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 5962) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2019-10-29 |