| NPI | 1114945250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 056708) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 56708) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-03-06 |