| NPI | 1184832701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-34619) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2016001509) |
| 207P00000X Emergency Medicine (Licence: MI 5101017095) | |
| 207P00000X Emergency Medicine (Licence: IN 02006931A) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-09-07 |