| NPI | 1134431869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-9679) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.206554) |
| 207X00000X Orthopaedic Surgery (Licence: NE 6322) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2020-02-20 |