| NPI | 1245207950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME84425) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 049607) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2025-03-27 |