| NPI | 1184676181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301084991) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D45394) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-04-19 |