| NPI | 1144350588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 29723) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 121501) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-07-21 |