| NPI | 1245433069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00047949) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01060958A) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-12-08 |