| NPI | 1144276858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD22282) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60718425) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-12-27 |