| NPI | 1184738585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.018257) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 018257) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-04-12 |