| NPI | 1174784557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 15209) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 237752) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2022-02-14 |