| NPI | 1184731952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND 15197) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 41125) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-07-05 |