| NPI | 1134618440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 69208) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351030836) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2023-11-22 |