| NPI | 1134356355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD156389) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-8731) |
| 207P00000X Emergency Medicine (Licence: IA 39477) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2020-11-10 |