| NPI | 1134153620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H63519) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI DOS-2147) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-05-01 |