| NPI | 1184650186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 54408) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 64941) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2022-09-14 |