| NPI | 1235306051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD29132) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 225397) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2009-09-28 |