| NPI | 1144370206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 058733) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN7830) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-08-02 |