| NPI | 1184662330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS012728) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C2-0009049) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-10-08 |