| NPI | 1225297286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD30887) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 149507) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-03-04 |