| NPI | 1154396349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 40040) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE 040040) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-03-03 |