| NPI | 1225392954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 70522) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 5477) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2015-03-26 |