| NPI | 1174715726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 51167) |
| Additional Taxonomies | 202D00000X Integrative Medicine (Licence: AZ 51167) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2024-08-14 |