| NPI | 1245236702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 074833) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 022374) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2015-09-14 |