| NPI | 1093378440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME146990) |
| Additional Taxonomies | 209800000X Legal Medicine (Licence: FL ME146990) |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2024-12-09 |