| NPI | 1225216997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS12342) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 3906) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2016-01-21 |