| NPI | 1144350349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.28863) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 127063) |
| 207P00000X Emergency Medicine (Licence: AL 28863) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-02-01 |