| NPI | 1114248614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD23571) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX pending) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2023-05-23 |