| NPI | 1093240871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0099757) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 67625) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2024-06-24 |