| NPI | 1154563583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 67839) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 067839) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2024-04-09 |