| NPI | 1134196298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 10227) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 45651) |
| 207P00000X Emergency Medicine (Licence: MN 45937) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2023-11-27 |