| NPI | 1225401292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 0071R) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA OP61498304) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2024-01-30 |