| NPI | 1093240483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301507042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2020022482) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2022-07-25 |