| NPI | 1235492208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC DO034558) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H0085839) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2024-06-20 |