| NPI | 1205889136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD180451) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M6802) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-09-08 |