| NPI | 1215429139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 7189) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101025364) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2026-04-24 |