| NPI | 1184038044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-44903) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301104829) |
| 207P00000X Emergency Medicine (Licence: NE 32897) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-12-28 |