| NPI | 1144243916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD183501) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-9333) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-09-07 |