| NPI | 1144280223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101242964) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 37305) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-08-25 |