| NPI | 1245233485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 1135) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV 1135) |
| 207P00000X Emergency Medicine (Licence: IN 02002084A) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2014-10-01 |