| NPI | 1164459749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL DO 781) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 18879) |
| 207P00000X Emergency Medicine (Licence: KY 05612) | |
| 207P00000X Emergency Medicine (Licence: GA 054942) | |
| 207P00000X Emergency Medicine (Licence: FL OS8723) | |
| 207P00000X Emergency Medicine (Licence: TN TP651) | |
| 207P00000X Emergency Medicine (Licence: AL DO.781) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-01-09 |