| NPI | 1144391525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS10806) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI DOS1302) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2011-08-10 |