| NPI | 1184824880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 65891) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 232171) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2011-08-03 |