| NPI | 1114939733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 4498) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 056948) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-10-30 |