| NPI | 1184788044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0060096) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD33417) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2022-12-20 |