| NPI | 1114132255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 059307) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 236496) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2025-08-15 |