| NPI | 1215228713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-41858) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 28505) |
| 207P00000X Emergency Medicine (Licence: CA 130100) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2022-08-17 |