| NPI | 1184652257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 39859-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 39859-20) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2021-12-23 |