| NPI | 1194959916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 112637) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 67933) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2024-09-01 |