| NPI | 1225024417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME68270) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 68270) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2018-03-17 |