| NPI | 1174814073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 8316) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MO 2021050909) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2023-09-20 |