| NPI | 1194087239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-37688) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2015009386) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-10-11 |