| NPI | 1144412016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME 124958) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M7196) |
| 207P00000X Emergency Medicine (Licence: AL MD.30165) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2015-11-04 |