| NPI | 1114964020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX n1724) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL L-2781R) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-09-17 |