| NPI | 1083687396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 396) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 3609) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-08-17 |