| NPI | 1174560510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-29251) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 39901) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-12-06 |