| NPI | 1093836843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 50534) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101015633) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-07-13 |