| NPI | 1225042799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 36548) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 9700141) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-05-01 |