| NPI | 1245270321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 042188) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 27532) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-05-23 |