| NPI | 1235320052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301089795) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 46288) |
| 207P00000X Emergency Medicine (Licence: LA 309884) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2018-09-28 |