| NPI | 1144531575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-49215) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2024018220) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2024-07-12 |