| NPI | 1144253857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC sc 998) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC TL998) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-02-04 |