| NPI | 1184003576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID O-1857) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 2337) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2025-08-07 |