| NPI | 1144488586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 070146) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 149276) |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2013-06-11 |