| NPI | 1225065436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 2815) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101009929) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2010-11-24 |