| NPI | 1215184783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2018012783) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 708) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2023-10-05 |