| NPI | 1215981741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M7871) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD154016) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-10-20 |