| NPI | 1215916234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 13663) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C10006234) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2021-12-14 |