| NPI | 1194986109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 16942) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-34965) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2024-06-06 |