| NPI | 1154901452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61653524) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 234033) |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2025-07-11 |